Physical Activity in the Prevention and Treatment of Coronary Artery Disease

Winzer, Ephraim B; Woitek, Felix; Linke, Axel

doi:10.1161/jaha.117.007725

Cited by 178 publications

(157 citation statements)

References 150 publications

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“…Physical inactivity is recognized as one of the major risk factors for many noncommunicable diseases such as coronary artery disease (CAD) [1,2]. A recent study by Anjana et al [3] revealed that 54.4% of the Indian population were physically inactive and supported other findings from more focused studies [4][5][6].…”

Section: Introductionmentioning

confidence: 74%

Cardiovascular Responses and Cardiac Work of Selected Daily Activities in Young Healthy Indian Participants

Fredrick

Vaz

2019

Complement Med Res

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Background: Studies suggest that habitual daily activities may result in significant cardiovascular responses that might have implications for individuals with coronary artery disease. This study determined the cardiac work for various activities of daily living among healthy young participants. Methods: We evaluated cardiovascular responses in 42 young adults (21 male, 21 female) to graded activities. Subjects were divided into three groups. In each group, one light, one moderate, and one heavy activity were performed based on published METS. Cardiovascular responses were evaluated using impedance cardiography (BOMED Instruments, USA) and automated blood pressure monitor (Welch Allyn, USA). Cardiac work was computed as the double product (heart rate × systolic blood pressure) and triple product (systolic blood pressure × cardiac output [stroke volume × heart rate]). Perceived exertion was evaluated using Borg's scale. Results: There was high inter-individual variability in cardiovascular responses for each activity. There were, by and large, no gender differences across the activities. Cardiac work was significantly higher with heavy activities than light activities using both indices; however, the triple product showed greater discriminatory ability in evaluating differences in cardiac work across all categories of activities. Conclusion: The data suggest a need to develop a compendium of cardiac work related to habitual activities to guide doctors and patients.

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Section: Introductionmentioning

confidence: 74%

Cardiovascular Responses and Cardiac Work of Selected Daily Activities in Young Healthy Indian Participants

Fredrick

Vaz

2019

Complement Med Res

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“…Kebugaran kardiovaskular dengan indikator aktivitas fisik yang efektif, adalah ukuran kemampuan jantung dan organ lain untuk mengirim oksigen (O2) untuk bekerja otot selama aktivitas fisik dan dapat diekspresikan dalam metabolisme puncak setara (MET) (Crane, Abel, & McCoy, 2015). Aktivitas fisik yang dilakukan secara teratur telah terbukti mengurangi gejala, meningkatkan miokardial perfusi, dan yang paling penting mengurangi mortalitas pada pasien dengan infark miokard (Winzer, Woitek, & Linke, 2018).…”

Section: Infarkunclassified

Fatigue dan Aktivitas Fisik pada Pasien Pasca Infark Miokard

2019

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Post myocardial infarction patient commonly performs mild physical activity. Physical activity is known to reduce the risk of acute myocardial infarction. More than half of post myocardial infarction patient experienced fatigue, thus becoming a barrier to physical activity. The purpose of this study was to determine the relationship of fatigue with physical activity in patients after myocardial infarction. Study design was quantitative with correlation method and cross-sectional approach. Sample was of 97 patients who experienced previous myocardial infarction. The data were collected using the Multidimensional Fatigue Inventory-20 questionnaire and the International Physical Activity Questionnaire (IPAQ) questionnaire. The univariate analysis was presented with frequency distribution and bivariat tables using the Spearman test. The results showed that there was a significant relationship between fatigue and physical activity (p = 0,000). This means that patients with high fatigue are at risk of having decreased physical activity. Therefore, it is expected that there will be intervention and information provided by health workers to the family to motivate patients to be able to move without difficulties.

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“…Physical inactivity has been identified as an important risk factor for the development of coronary artery disease (CAD). 2 In contrast, regular exercise and physical activity, including any leisure interests that involve increased energy expenditure, are associated with lower mortality in patients with stable CAD. [3][4][5] The European Society of Cardiology guideline recommends moderate-to-vigorous-intensity aerobic exercise training !3 times a week and for 30 min per session in patients with stable CAD.…”

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confidence: 99%

“…2,7 Exercise training ameliorates body composition, blood pressure, plasma lipid profiles, insulin sensitivity, glucose intolerance, platelet activation, number of progenitor cells, endothelial dysfunction, atherosclerotic development, collateral formation, resting heart rate, myocardial perfusion, pathological remodeling of left ventricle, wall compliance, contraction-relaxation velocity and cardiac output. 2,[7][8][9] We have previously reported an association between the percent changes in coronary plaque volume assessed using intravascular volumetric ultrasonography and physical activity in patients who participated in phase II cardiac rehabilitation after acute coronary syndrome (ACS). 10 The percent change in the plaque volume was significantly and negatively correlated with daily physical activity evaluated using a pedometer.…”

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confidence: 99%